The Best Health Care System in the World: Which One Would You Pick?

In Canada

The government ends up paying for about 70 percent of health care spending in all.

.. Britain has truly socialized medicine

.. Coverage is broad, and most services are free to citizens, with the system financed by taxes, though there is a private system that runs alongside the public one. About 10 percent buy private insurance. Government spending accounts for more than 80 percent of all health care spending.

.. Singapore’s system costs far less than America’s (4.9 percent of G.D.P. versus 17.2 percent).

.. Everyone in France must buy health insurance, sold by a small number of nonprofit funds, which are largely financed through taxes. Public insurance covers between 70 percent and 80 percent of costs.

.. The Ministry of Health sets funds and budgets; it also regulates the number of hospital beds, what equipment is purchased and how many medical students are trained. The ministry sets prices for procedures and drugs.

The French health system is relatively expensive at 11.8 percent of G.D.P., while Australia’s is at 9 percent. Access and quality are excellent in both systems.

.. A majority of Germans (86 percent) get their coverage primarily though the national public system, with others choosing voluntary private health insurance. Most premiums for the public system are based on income and paid for by employers and employees, with subsidies available but capped at earnings of about $65,000.

.. There are no subsidies for private health insurance, but the government regulates premiums, which can be higher for people with pre-existing conditions

.. Switzerland. It has superior outcomes. It’s worth noting that its system is very similar to the Obamacare exchanges.

.. The Swiss system looks a lot like a better-functioning version of the Affordable Care Act. There’s heavy, but quite regulated, competition among insurers and an individual mandate.